2012 Cooperating School Districts' Official Show-Me a Movie Entry Form

Show-Me a Movie is a digital storytelling contest for Illinois and Missouri students (grades 2 thru 12) to demonstrate their creativity and digital movie-making skills. Based on curriculum and with a content focus, the movies will showcase what students know, care about, and are able to do.

Teachers and students, please review this entry form carefully prior to submitting information. Please submit this entry form prior to the 3 p.m. submission deadline on December 14, 2012.

** PLEASE NOTE THAT THE DEADLINE HAS BEEN EXTENDED TO DECEMBER 17; CSD EMAIL HAS BEEN DOWN FOR OVER 24 HOURS AND WE ARE UNABLE TO ACCESS MESSAGES. IT IS ENCOURAGED MOVIES BE SUBMITTED TODAY, BUT NOTE THAT WE ARE ACCEPTING ENTRY FORMS AND REFLECTIONS UNTIL MONDAY AT 3 PM CST. **

• Double check movie links to ensure they are open to the public for our judges to view.

• Remember that movies without proper citations will not be eligible for judging.

• Each participating student is required to complete a reflection on the movie making process on a separate form (see the Show-Me a Movie website). Only 1 entry form is required per movie, but again, each participating student must submit a reflection.

Thank you,

Rebecca MorrisonShow-Me a Movie Program Manager

* Required

State
*

Illinois

Missouri

This is a required question

School Name
*

This is a required question

District Name
*

This is a required question

Sponsoring Teacher Name
*

(first & last)

This is a required question

Movie Title
*

(please make sure movie has the same title on all documents as it does online)

What is the point of your movie and what do you want viewers to understand after they watch it? Give any background information that you think might be necessary for the judges to understand your movie.

This is a required question

Student(s) Names
*

(please identify the first & last name for all paricipating students)

This is a required question

(for students) STATEMENT TO CERTIFY STUDENT WORK:
*

We, the students listed above, do state our movie entry is our own work.

Yes, this is our work.

Other:

This is a required question

(for sponsors) STATEMENT TO CERTIFY STUDENT WORK:
*

We, the teacher(s) listed below, do state this movie entry our students' own work. We also certify we have reviewed the entry and it is our students' best digital storytelling work.

Yes, this is their best work.

Other:

This is a required question

(for sponsors) Teacher Statement
*

Please submit a brief statement about your involvement in the movie making process with an estimate of time spent on your part.

This is a required question

(for sponsors) We verify the digital story permissions are on file at our school.
*

Yes

Other:

This is a required question

(for sponsors) We further certify that we have received the necessary copyright clearances and they are also on file at our school.
*

Yes

Other:

This is a required question

Sponsoring Teacher School Address
*

This is a required question

Sponsoring Teacher Email Address
*

(work or personal - what is the best way to reach you between December 15- January 15)

This is a required question

Sponsoring Teacher Phone #
*

(work or personal - what is the best way to reach you between December 15- January 15)